PMID- 12851689 OWN - NLM STAT- MEDLINE DCOM- 20040304 LR - 20181219 IS - 1019-6439 (Print) IS - 1019-6439 (Linking) VI - 23 IP - 2 DP - 2003 Aug TI - Thymidine and hypoxanthine protection patterns of the folic acid-enhanced synergies for combinations of trimetrexate plus a polyglutamylatable inhibitor of purine or thymidylate synthesis against human ileocecal HCT-8 cells. PG - 401-9 AB - In order to examine the intracellular locus of the folic acid (PteGlu)-enhanced synergies of trimetrexate (TMQ) plus the thymidylate synthase (TS) inhibitor, raltitrexed (RTX), and TMQ plus the glycinamide ribonucleotide formyltransferase (GARFT) inhibitor, AG2034, comprehensive protection studies with thymidine (dThd) and hypoxanthine (HX) were conducted in a 96-well plate cell growth inhibition (sulforhodamine B) assay. Current modeling techniques were extended to characterize these protection patterns involving multiple-agent interaction. Wild-type human ileocecal HCT-8 cells and DW2, a subline deficient in folylpoly-gamma-glutamate synthetase (FPGS) were individually treated for 96 h with TMQ, AG2034 and a 1:1 mixture of TMQ:AG2034 or with TMQ, RTX, and a 1:1 mixture of TMQ:RTX in the presence of PteGlu (2.3 or 40 micro M) and the protection agents (10 micro M dThd and/or 100 micro M HX). Drug treatments were randomly assigned to wells. Both isobols and 3-dimensional concentration-effect surfaces were used to assess the nature and the intensity of drug interactions. The structural Hill model was fitted to data with weighted non-linear regression for most cases. A so-called 'double Hill' model was sometimes more appropriate when a plateau in the middle of the concentration-effect curve was found. In HCT-8 and DW2 cells at 2.3 and 40 micro M PteGlu, inhibition of DHFR by TMQ induced antithymidylate and antipurine effects; AG2034 and RTX selectively inhibited de novo purine or thymidine synthesis, respectively. dThd protection increased the PteGlu-enhancement of the TMQ + AG2034 synergy, whereas HX protection increased the PteGlu-enhancement of the TMQ + RTX synergy. The PteGlu-enhanced synergies of TMQ + AG2034 and TMQ + RTX occur primarily through inhibition of purine synthesis and inhibition of thymidylate synthesis, respectively. These results further substantiate the hypothesis that the nonpolyglutamylatable DHFR inhibitor, TMQ, acts as a modulator by decreasing the protection by PteGlu of cells against the polyglutamylatable AG2034 and RTX. FAU - Faessel, Helene M AU - Faessel HM AD - Groton Laboratories, Pfizer Inc., Clinical PK-PD, Groton, CT 06340, USA. FAU - Slocum, Harry K AU - Slocum HK FAU - Rustum, Youcef M AU - Rustum YM FAU - Greco, William R AU - Greco WR LA - eng GR - CA16056/CA/NCI NIH HHS/United States GR - CA65761/CA/NCI NIH HHS/United States GR - RR10742/RR/NCRR NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (Antineoplastic Agents) RN - 0 (Enzyme Inhibitors) RN - 0 (Glutamates) RN - 0 (Hematinics) RN - 0 (Pyrimidines) RN - 0 (Quinazolines) RN - 0 (Thiophenes) RN - 2TN51YD919 (Hypoxanthine) RN - 935E97BOY8 (Folic Acid) RN - EC 2.1.1.45 (Thymidylate Synthase) RN - EC 2.1.2.- (Hydroxymethyl and Formyl Transferases) RN - EC 2.1.2.2 (Phosphoribosylglycinamide Formyltransferase) RN - EC 6.3.2.- (Peptide Synthases) RN - EC 6.3.2.17 (folylpolyglutamate synthetase) RN - FCB9EGG971 (raltitrexed) RN - IC32U30905 (AG 2034) RN - UPN4ITI8T4 (Trimetrexate) RN - VC2W18DGKR (Thymidine) SB - IM MH - Adenocarcinoma/*drug therapy/*metabolism MH - Antineoplastic Agents/pharmacology MH - Antineoplastic Combined Chemotherapy Protocols/*pharmacology MH - Cecal Neoplasms/drug therapy/metabolism MH - Cell Division/drug effects MH - Drug Resistance, Multiple MH - Drug Synergism MH - Enzyme Inhibitors/pharmacology MH - Folic Acid/*pharmacology MH - Glutamates/adverse effects MH - Hematinics/pharmacology MH - Humans MH - Hydroxymethyl and Formyl Transferases/antagonists & inhibitors MH - Hypoxanthine/metabolism/*pharmacology MH - Ileal Neoplasms/drug therapy/metabolism MH - Peptide Synthases/deficiency MH - Phosphoribosylglycinamide Formyltransferase MH - Pyrimidines/adverse effects MH - Quinazolines/pharmacology MH - Thiophenes/pharmacology MH - Thymidine/metabolism/*pharmacology MH - Thymidylate Synthase/antagonists & inhibitors MH - Trimetrexate/adverse effects MH - Tumor Cells, Cultured EDAT- 2003/07/10 05:00 MHDA- 2004/03/05 05:00 CRDT- 2003/07/10 05:00 PHST- 2003/07/10 05:00 [pubmed] PHST- 2004/03/05 05:00 [medline] PHST- 2003/07/10 05:00 [entrez] PST - ppublish SO - Int J Oncol. 2003 Aug;23(2):401-9.